SPHP

1. Distend bladder
2. Sagittal midline of bladder
3. Sagittal right of bladder
4. Sagittal left of bladder
5. Transverse mid of bladder
6. Transverse right of bladder
7. Transverse left of bladder
8. Document ureteral jets (investigate for 5 minutes minimally)
9. Measure prevoid volume
10. Postvoid bladder. Measure postvoid volume
11. 3 Sagittal right  kidney- medial, mid, and lateral (measure length and AP dimension) Include spleen/kidney interface
12. Sag right kidney color doppler
13. 3 Transverse right kidney- upper, mid, lower (measure width dimension)
14. 3 Sagittal left kidney- medial, mid, and lateral (measure length and AP dimension) Include liver/kidney interface
15. Sag left kidney color doppler
16. 3 Transverse left  kidney- upper, mid, lower (measure width dimension)

Kidneys:

Sagittal views of the kidneys, three images. Measure longitudinal dimension. Transverse view of the kidneys (upper, mid, and lower poles) in this order and label.

Bladder:

Sagittal and tranverse views with the bladder distended. Measure prevoid volume. Have patient void and then measure postvoid volumes.

Notes:

- an abnormality should be shown in sag and trans, (ie: renal stone, cyst, angiomyolipoma, solid mass).

- show the liver/kidney interface for echogenicity comparison.